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NurseFirst's Latest Activity

  1. NurseFirst

    Does this sound ... oh, just please read...

    Hi, I wasn't interested in donating. I'm a moderator on a private internet marketing board where this person had posted, and I was trying to do a bit of vetting--the rules about which the board owner as subsequently clarified, so the vetting is not really necessary now. I'm still interested in knowing if it makes medical sense that someone's heart would be entirely removed from the thorax, and lay on a table, in order to be operated on. To me, it doesn't. But what do I know? Like I say, it sounds like it would be a bit hard on the great vessels :) Thanks for all your help! NurseFirst
  2. NurseFirst

    Volunteer Nurses Needed for Hurricane Emergency!

    Make sure you know what the time commitment is from YOUR local Red Cross. Here, in the San Francisco Bay Area, they've lowered it to a 9-day commitment. I'd be surprised if that weren't true in other places. As for the person who thinks they can distribute food and learn how on the way down...I'm wondering...would that training include what to do if you are 1) shot at; 2) mobbed; 3) run out. Some of these things might need to include more training than just sitting in a classroom, may include some exercises requiring some space... I will say that it's ironic that September is "Disaster Preparedness Month"... :) NurseFirst
  3. NurseFirst

    Doctors plead for help as hospitals run out of food, power

    It's probably true. I don't know, though. It's tragic--but unless you have some way of remedying the situation rather than being another complaining voice--what difference does it make? Anyone who thinks that life is fair, can be fair, will be fair--is smokin' something. That doesn't mean that you, me and others can't work to change things. But rather than yell and scream about someone not doing something...YOU do something. Something positive. Something constructive. It's easy to point out all the things that are wrong--that's the easy part. It's such a part of the human condition... It's a lot harder to get involved in the rather thankless fight to make things better (especially with all the "back seat drivers", "monday morning quarterbacks" tellin' ya how you are doin' it wrong.) A disaster, by definition, is a situation in which the resources to help are overwhelmed. I'm tired of hearing people complain about how not enough is being done (it isn't, that's the nature of a disaster; it's not gonna be perfect. Heck--things don't even go well in non-disasters.) The people responsible are doing the best they can. You can't help them, or the process, by tellin' 'em what they are doing wrong. It just takes away energy that could go better to doing positive things for people. Sorry. I'm just a little annoyed. I've been listening for two or three days to people complain about how things are being handled. People who've never even been in a mock "disaster", or know about "black tagging" in triage. How does complaining help? Roll up your sleeves and help--there's enough that can by anyone, anywhere that will help more people than by complaining, or pointing out things that are wrong. That's too easy--that's like shooting fish in a barrel. NurseFirst
  4. NurseFirst

    decubiti redux...

    I did do some clinical time in an LTC where the patient was on a bed, I assume with the type of mattress folks have described here, but which ALSO rotated the patient gently from side to side. Anyone know much about these beds? Thanks, NurseFirst
  5. NurseFirst

    decubiti redux...

    Wow! Only $8.95? Seems extremely reasonable--great ROI, I would think. NurseFirst
  6. NurseFirst

    decubiti redux...

    A few months ago I had the opportunity to stir up a bit of controversy (quite unintentionally) about Chris Reeve and decubiti. Now, I am asking for help. A dear friend of mine's Mom has been recently diagnosed with advanced terminal cancer (mets everywhere). I don't know whether hospice covers preventative treatment for decubiti, or if so, what kind. I know when my Dad was in hospice, they paid for a hospital bed--but nothing special. I woke up every 2 hours to turn my Dad. I'm interested in knowing what kinds of preventatives there are for decubiti...I guess beds are on the top of the list. But other things, too. I'd like to give my friend some recommendations--I don't think depending upon paid or unpaid caregivers to turn a patient every 2 hours is the best approach, especially if the caregiver is providing 24 hr care. Suggestions? Comments? Thanks...and happy 4th, everyone!!! NurseFirst
  7. NurseFirst

    Codeine for analgesia

    Hi, I just found out from a dear friend that her mom is dying from advanced terminal CA (mets everywhere)--recently discovered. Her mom can't take morphine and reportedly is on codeine. I was a bit surprised, because I don't think of codeine as, generally, a particularly strong analgesic (I couldn't even find it on any of the equalanalgesic charts) and hadn't heard of it being used for CA pain (but what do I know? I'm only a 2nd/2 yr student). Could someone enlighten me? My friend also mentioned something about demerol--maybe it had been used in the hospital? I'm not sure. But I understand that many places shy away from demerol because it tends to make pts loopy. I told her that we've used dilaudid for some folks for whom morphine didn't work--though I'm not sure if there is any cross-sensitivity between morphine and dilaudid. Can anyone help me out ? Thanks very much in advance, NurseFirst
  8. NurseFirst

    How to pass Anatomy and physiology ?

    I didn't have it when I took A&P, but bought it after being well into nursing school: a digital voice recorder, one that you can upload to a computer. I agree with the poster who mentioned to not use voice activation on tapes--but I'm not sure if the same thing applies for DVRs, since they can buffer the voice and re-write their buffers. I LOOOOOOOVE it. It's small enough that I have it with me all the time--I've recorded (with permission) teacher-student conferences (which I really appreciate having, since that it is personal and specific information). But, uh, then I've also recorded times where the instructor said "to put your pencils down". One of my instructors actually has had me turn it off during specific stories she told :). Flashcards--yup. Use different colors, study different systems in different locations (bedroom, library, etc.)--makes use of what's known as "state dependent memory." There are places on the web where you can find flashcards others have already made, or make your own for free-and share them, if you like. mnemonics--definitely. Try to break the words down into their component parts--that can often help you. I had an "aha" experience when I realized that adrenal glands -- the name actually describes their location--"above (ad) the kidneys (renal)." If you haven't done muscles--know that if you know any two: origin, insertion, movement, you can usually figure out the third. Origins are always on stable bones, insertions on the bones that will be moved; the origin and insertion on different bones and across a joint. Have fun! NurseFirst
  9. NurseFirst

    New Slant on ADN vs BSN: are ADN programs anti-intellectual?

    speaking from a phrase-book for teachers and educators. a corresponding phrase book can be found for people who are in aa, or in therapy, or even medicine. for instance, in the movie "same time next year" alan alda was speaking in such a way that the woman said (laughingly) "so when did you go into therapy?". it's just like the phrase you used: "i am going to ask you politely". it sounds like some kind of phrase that someone who is restraining their anger would say. why do you have to say it like that? why couldn't you have said what you said later, that "i ... had major concerns with the title of your thread. it will rub some of us (not just adn grads, but those who teach in these programs)--- the wrong way" simple, straightforward, states where you are coming from. the other comes across as a bit of a put-down--that somehow i should automatically know where you are coming from. hope that makes it a bit clearer, anyway. thanks again, nursefirst
  10. NurseFirst

    New Slant on ADN vs BSN: are ADN programs anti-intellectual?

    meownsmile, i have read many of your posts before, and have enjoyed them. but here, you (and smilingblueeyes, whose posts i've also enjoyed) come across speaking some kind of weird "edu-speak" (altho' sbe a little less so.) your last paragraph is also a kind of "all or nothing" thinking that glosses over the issue without really addressing the immediate problem. thank you all for your responses. nursefirst
  11. NurseFirst

    New Slant on ADN vs BSN: are ADN programs anti-intellectual?

    Thanks everyone for your feedback. The conversation about the ASA occurred entirely outside of class time. In fact, I'm not sure if I even had a class that day. Thanks, NurseFirst
  12. NurseFirst

    New Slant on ADN vs BSN: are ADN programs anti-intellectual?

    Sorry, I wasn't trying to start a war. I was just wondering if I should consider changing programs. I'm concerned that this "reputation" of mine is going to influence my future by limiting my choices in preceptorship and future positions. And I would like to know what other people's experiences are. This doesn't have to be gasoline on fire: we've had a pretty reasonable discussion re: Terry Schiavo. If I had such a low opinion of the other posters on this board to not be able to carry on a reasonable discussion, then I would not have posted it. The question was an honest question; not one to inspire incindiary (sp?) rhetoric. I'm sorry you feel that was what I was trying to do. Friends? NurseFirst
  13. I was preparing some med sheets that a group of my classmates and I made up for the medications we were given as likely meds to be given. While doing this, I learned an interesting fact: that if the urine is alkaline, up to 80% of ASA would be eliminated from the body, compared to 2-3% if it is acidotic (according to Davis' Drug Guide for Nurses). When I shared this with the lab instructor, she swept her hand over the mannikins and said "Where would I need to know that?" I then shared it with the 1st term instructor, who also teaches pharmacology, who also seemed to shine it on as like "why would you need to know that?" After being lectured by the lab instructor some time after this event, she as much as said that I was confusing other students by asking "tangential" questions in class. (For me, the questions help me to form a bigger picture.) She said, surely I must have been told this in other classes? I have a long history of education and many many units, and I said--"No, I've never been told that before I entered nursing school." (In fact, I've been told as much that I am "selfish" for asking questions.) Another pharmacology teacher put down several foreign students who said that activated charcoal was used in their country as an anti-emetic, for indigestion--she told them that if someone took activated charcoal it would cause them to vomit (not true). How activated charcoal works was eventually brought up by another instructor who assured us that activated charcoal was not an emetic. While we are told our ADN program has an excellent reputation, these kinds of responses bother me. I always learn better when I know MORE, because I understand how everything works. I feel like my school and I have different educational philosophies. Are all nursing schools like this? Is it more prevalent among ADN programs? I am a bit disappointed, to say the least. Thanks, NurseFirst
  14. NurseFirst

    more important nsg dx?

    We have a nursing instructor, who, when we ask her a question about priorities and such will often say "It depends," frequently prefixed by "I think the answer to any nursing question is..." I imagine it comes from answering questions from students before the student has given them sufficient information!!! NurseFirst
  15. NurseFirst

    Last Words before Induction.......

    Y'all should become acquainted with Peggy Huddleston's "Prepare for Surgery, Heal Faster." I used this program (modified) before I had my first (and, so far, only) major surgery. I didn't use the tape she provides, but rather filled it with Orthodox Christian Liturgical music. But I liked the fact that there were things the MDA/CRNA was supposed to say to me just before I was put to sleep and just before waking up--suggestions that I would heal quickly, that the surgery went well, etc. etc. I don't know if the nurses were telling the truth, but they were impressed with my recovery. My friends who let me stay at their homes after surgery were also impressed with my recovery: they expected to have to do a lot more for me! NurseFirst
  16. NurseFirst

    I'm having a hysterectomy!

    i also recommend peggy huddleston's "prepare for surgery, heal faster". i didn't do any kind of exercise prior to surgery, had a tah, am obese (bmi 37) was 52 at the time and did great!!! the nurses were surprised how well and how quickly i recovered (as were my friends)--i had surgery at about 2 in the afternoon, didn't get back to my room until about 7pm (due to periodic limb movements of sleep they had to give me more anesthesia than expected, so i was in recovery longer than expected.) i taped nice orthodox christian music which i put on a tape and was able to take the taperecorder into surgery. awesome!!! nursefirst